Notification of Change of Ownership - Western Australia
Government of Western Australia
Department of Transport
Driver and Vehicle Services
Notication of Change of Ownership
Vehicle Licence Transfer
MR9
Purchaser’s Copy (red copy)
Vehicle Details (Details to be completed from vehicle licence papers)
Seller Details
Purchaser Details: IMPORTANT - all boxes must be completed. Refer to Proof of Identity requirements
It is important that you complete this information for the transfer process to proceed.
Will this vehicle be kept primarily in WA (see ‘Garaging Address’ on back of form for explanation)? YES NO
IsafactoryttedorGovernmentapprovedimmobiliserttedtothisvehicleandfullyoperational? YES NO
WA DRIVER’S LICENCE NUMBER DATE OF BIRTH
PLATE NUMBER LICENCE EXPIRY DATE
ENGINE NUMBER CHASSIS/VIN NUMBER
Transmission Type (please tick ü) Vehicle Condition (please tick ü)
Automatic Manual Poor Average Good
SELLER’S NAME IN FULL:
FAMILY NAME
COMPANY NAME
(IF VEHICLE IS LICENSED IN COMPANY NAME)
GIVEN NAMES
DUTIABLE VALUE
(SEE DEFINITIONS OVERLEAF)
SELLING
PRICE
GIVEN
NAMES
PURCHASER’S NAME IN FULL:
FAMILY NAME
Is this vehicle to be licensed in the name of a corporate company? (Please tick) YES NO
IF YES,
COMPANY NAME
CONTACT
PHONE NUMBER
WARNING
A seller or Purchaser who understates the purchase price or dutiable value of a vehicle or who provides information which is false in a
material particular (important details) commits an offence under the Duties Act 2008 and is liable to a penalty of $20,000. The seller and the
purchaser are liable for the payment of the amount of shortfall of vehicle licence duty to the extent of the amount understated, together with
a penalty of 100% of that duty.
If the vehicle has optional number plates
tted, you must also transfer the ownership of
the right to display. See page 1.
YEAR OF MANUFACTURE
MAKE MODEL BODY TYPE BADGE SERIES
DATE OF BIRTH
AUSTRALIAN COMPANY NUMBER (ACN)
RESIDENTIAL SUBURB OR
ADDRESS TOWN
DATE OF DISPOSAL
AUSTRALIAN COMPANY NUMBER (ACN)
RESIDENTIAL
ADDRESS
SUBURB OR
TOWN
POSTAL ADDRESS
SUBURB OR
TOWN
POSTCODE
GARAGING ADDRESS
(SEE BACK OF FORM FOR EXPLANATION)
Do you give consent to Driver and Vehicle Services (DVS) to use the address(es) above as your
residential/ postal address(es) for all DVS dealings?
YES NO
SUBURB OR
TOWN
CONTACT
NUMBER
Odometer Reading
POSTCODE
POSTCODE
POSTCODE
Purchaser’s Declaration
Seller’s Declaration
I declare that all the above information I have
provided is true and correct and hereby apply
to transfer the vehicle licence into my name.
I dec l ar e th at al l th e ab ove inf or m at io n I have
provided is true and correct.
Date Date
Purchaser’s Signature Seller’s Signature
This form must be completed and signed by both the seller and the purchaser. The purchaser must mail the purchaser’s copy to:
Driver and V ehicle Services, GPO Box R 1 290, Perth, W A 6844 within 1 4 days of the sale or a $ 1 00 infringement may be issued.
Page 5/6
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